Individual provider Active NPI

David Anthony Smaldone, D.C.

  • Chiropractor
  • Kingston, NY
National Provider Identifier
1386710846
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011297 Issued in NY
Practice address
502 Albany Ave
Kingston, NY 12401-2141
Phone
(845) 338-8404
Fax
(845) 201-0124
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NP0017X X011297 NY
Sports Physician Chiropractor 111NS0005X X011297 NY
Chiropractor 111N00000X X011297 NY Primary

Addresses

Primary practice location

502 Albany Ave
Kingston, NY 12401-2141

Mailing address

502 Albany Ave
Kingston, NY 12401-2141
Phone (845) 338-8404

Other names 1

  • Smaldone Chiropractic PLLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110330000604 NY Practitioner - Chiropractic 6305029265 Reassigns benefits to 1 organization
Practice locations: Kingston, NY; New Paltz, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

39 Ctr St
New Paltz, NY 12561-2006
Phone (845) 338-8404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X011297NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Smaldone Chiropractic PLLC Sports Physician CurrentSince Jan 12, 2019 Accepting new patients

Locations

502 Albany Ave
Kingston, NY 12401
Phone (845) 338-8404

12 John St
#A
Kingston, NY 12401

12 John St
Kingston, NY 12401
Phone (845) 338-8404

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1386710846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 ALBANY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012141",
            "telephone_number": "845-338-8404",
            "fax_number": "845-201-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 ALBANY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012141",
            "telephone_number": "845-338-8404",
            "fax_number": "845-201-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALDONE",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "NY",
            "license": "X011297",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X011297",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SMALDONE",
            "last_name": "CHIROPRACTIC PLLC",
            "credential": "GROUPNPI: 1336606680",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.